BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3181859 · Received June 21, 2013

    Report

    Report Number
    1531186-2013-02734
    Date Received
    June 21, 2013
    Report Date
    May 23, 2013
    Manufacturer
    DANYANG MAXTHAI MEDICAL EQUIPMENT
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDER STATES BEARING FELL APART.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    282285 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR DANYANG MAXTHAI MEDICAL EQUIPMENT LTTB17FR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other